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MADELINE BERTRAM CCC-SLP
NPI 1902792872
Speech-Language Pathologist in Chicago, IL

Active since June 16, 2025Accepts Medicare Assignment
1212 N WELLS ST APT 1501, CHICAGO, IL 60610(712) 574-5220 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Madeline Bertram Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADELINE BERTRAM CCC-SLP (NPI 1902792872) is an individual speech-language pathologist provider in Chicago, Illinois, licensed in Illinois (146.017759) and active in the NPI registry since June 2025. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1902792872
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMADELINE BERTRAMCredential: CCC-SLP
Location Address1212 N WELLS ST APT 1501Chicago, IL 60610-5971
Mailing Address1212 N Wells St Apt 1501Chicago, IL 60610-5971 · (712) 574-5220
Phone(712) 574-5220
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 16, 2025
NPPES CertifiedJune 16, 2025
✔ NPI 1902792872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in IL · 146.017759
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1212 N WELLS ST APT 1501, Chicago, IL 60610
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madeline Bertram Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517474216
PECOS Enrollment IDI20250728003144

Medicare Billing Reassignment

Medicare enrollment records show Madeline Bertram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Paxxon Healthcare Services LLC
8.7 mi
Physical Therapist
1035 MADISON ST
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group
NPI 1063784148 (708) 848-7200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madeline Bertram's NPI number?

The NPI number for Madeline Bertram is 1902792872. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Madeline Bertram located?

Madeline Bertram practices at 1212 N Wells St Apt 1501, Chicago, IL 60610. The listed phone number is (712) 574-5220.

What is Madeline Bertram's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Madeline Bertram enrolled in Medicare?

Yes. Madeline Bertram is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Madeline Bertram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Bertram reassigns Medicare benefits to Paxxon Healthcare Services LLC (Oak Park, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madeline Bertram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Madeline Bertram was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.